Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How

Deep venous thrombosis (DVT) is common and can be a source of morbidity by way of pulmonary embolism and post-thrombotic syndrome. Recent trials have demonstrated both early and late symptomatic benefit in venous thrombolysis and early recanalisation of the iliocaval system of selected patients. Bas...

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Main Authors: Catherine Go, Rabih A Chaer, Efthymios D Avgerinos
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-06-01
Series:Vascular and Endovascular Review
Online Access:https://www.verjournal.com/articleindex/ver.2019.13
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author Catherine Go
Rabih A Chaer
Efthymios D Avgerinos
author_facet Catherine Go
Rabih A Chaer
Efthymios D Avgerinos
author_sort Catherine Go
collection DOAJ
description Deep venous thrombosis (DVT) is common and can be a source of morbidity by way of pulmonary embolism and post-thrombotic syndrome. Recent trials have demonstrated both early and late symptomatic benefit in venous thrombolysis and early recanalisation of the iliocaval system of selected patients. Based on the emerging evidence, national societies have published guidelines that recommend early thrombus removal in iliofemoral DVT in patients with low bleeding risk and good life expectancy. In light of these recommendations, endovenous thrombolysis and/or thrombectomy have become more popular among vein specialists. As more venous technology becomes available, surgeons and interventionalists should take pause and ensure their patient selection and treatment algorithms parallel that of existing and emerging evidence. This article summarises current evidence, technology, and the approach used at a high-volume academic centre in treating iliofemoral DVT.
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spelling doaj.art-1dd3bca2bbf5421f9d665338b65e8caf2023-08-05T16:01:53ZengRadcliffe Medical MediaVascular and Endovascular Review2516-32992516-33022020-06-01310.15420/ver.2019.13Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and HowCatherine Go0Rabih A Chaer1Efthymios D Avgerinos2Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USDivision of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USDeep venous thrombosis (DVT) is common and can be a source of morbidity by way of pulmonary embolism and post-thrombotic syndrome. Recent trials have demonstrated both early and late symptomatic benefit in venous thrombolysis and early recanalisation of the iliocaval system of selected patients. Based on the emerging evidence, national societies have published guidelines that recommend early thrombus removal in iliofemoral DVT in patients with low bleeding risk and good life expectancy. In light of these recommendations, endovenous thrombolysis and/or thrombectomy have become more popular among vein specialists. As more venous technology becomes available, surgeons and interventionalists should take pause and ensure their patient selection and treatment algorithms parallel that of existing and emerging evidence. This article summarises current evidence, technology, and the approach used at a high-volume academic centre in treating iliofemoral DVT.https://www.verjournal.com/articleindex/ver.2019.13
spellingShingle Catherine Go
Rabih A Chaer
Efthymios D Avgerinos
Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How
Vascular and Endovascular Review
title Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How
title_full Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How
title_fullStr Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How
title_full_unstemmed Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How
title_short Catheter Interventions for Acute Deep Venous Thrombosis: Who, When and How
title_sort catheter interventions for acute deep venous thrombosis who when and how
url https://www.verjournal.com/articleindex/ver.2019.13
work_keys_str_mv AT catherinego catheterinterventionsforacutedeepvenousthrombosiswhowhenandhow
AT rabihachaer catheterinterventionsforacutedeepvenousthrombosiswhowhenandhow
AT efthymiosdavgerinos catheterinterventionsforacutedeepvenousthrombosiswhowhenandhow